D. Marie Stoudemire, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

77193 Issued in TN

Practice address

921 E 3Rd St
Chattanooga, TN 37403-2102

Phone

(423) 209-8180

Fax

(209) 209-8191

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114140290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8180",
            "fax_number": "209-209-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8180",
            "fax_number": "209-209-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDEMIRE",
        "first_name": "D.",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "77193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN77193",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latricia Stone, FNP
• Mesia Alaine Stone, FNP-C
• Carol Burns Stoney, PH.D.
• Blake Storey
• Fabeionia N Story
• Paul K Stout, D.O.
• Robert Stover, OD
• Sabrina Stover, APRN
• Ellen Larson Stowell, M.S.-C.C.C., S.L.P.
• Allison Stowers, DPT

• General Practice Registered Nurse in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.